Tag: Advisory

  • Chemours challenges EPA health advisory for GenX

    Chemours challenges EPA health advisory for GenX

    By Trista Talton

    Coastal Review Online

    The Chemours Company is suing the Environmental Protection Agency for its recent health advisory for GenX, one of the contaminants discharged for years into the Cape Fear River from the company’s plant in Fayetteville.

    Chemours is challenging the EPA’s review of the agency’s health advisory for hexafluoropropylene oxide dime acid, or HFPO-DA (GenX), arguing the agency failed to use the best available science when making its determination.

    “Nationally recognized toxicologists and other leading scientific experts across a range of disciplines have evaluated the EPA’s underlying analysis and concluded that it is fundamentally flawed,” according to a Chemours release. “EPA’s own peer reviewer called aspects of EPA’s toxicity assessment (which serves as the basis for the health advisory) ‘extreme’ and ‘excessive.’ The agency disregarded relevant data and incorporated grossly incorrect and overstated exposure assumptions in devising the health advisory. The EPA’s failure to use the best-available-science and follow its own standards are contrary to this administration’s commitment to scientific integrity, and we believe unlawful.”

    The suit filed Wednesday in the U.S. Court of Appeals for the 3rd Circuit in Philadelphia specifically names EPA Administrator Michael Regan, who is also former secretary of the North Carolina Department of Environmental Quality.

    Chemours warned it might take legal action against the EPA after the agency’s assistant administrator for water, Radhika Fox, announced the final health advisory June 15.

    Fox made the announcement at the third National PFAS Conference held in downtown Wilmington, a city and surrounding region thrust into the national spotlight five years ago when the news broke that Chemours’ Fayetteville Works Facility had for decades been discharging per- and polyfluoroalkyl substances into the Cape Fear River, air and ground.

    The EPA’s final health advisory for GenX is 10 parts per trillion, or ppt and, for perfluorobutane sulfonic acid, or PFBS, at 2,000 ppt. PFBS has not been found in significant concentrations in samples in North Carolina, according to DEQ.

    The agency also issued updated interim health advisories for perfluorooctanoic acid, or PFOA, and perfluorooctane sulfonic acid, or PFOS.

    GenX was created to replace PFOA, which was voluntarily phased out of production more than 10 years ago in the U.S.

    Chemours states in its news release that HFPO-DA is not a commercial product and does not pose human health or environmental risks “when used for its intended purpose.”

    Health studies of animals that ingested GenX show health effects in the kidneys, blood, immune system, liver and developing fetuses, according to the EPA’s toxicity assessment.

    Chemours argues that the GenX toxicity assessment issued October 2021 was “materially different” from a draft assessment published in November 2018 and that the EPA did not provide public notice or allow for public comment on the new assessment.

    What are PFAS?

    Per- and polyfluoroalkyl substances (PFAS) are a group of man-made chemicals that includes PFOA, PFOS, GenX, and an estimated 5,000 types of PFAS, none of which are federally regulated. PFAS have been manufactured and used by industries worldwide since the 1940s, used in everything from Teflon pans to raincoats to dental floss. They are also used in firefighting foams.

    The two most extensively produced and studied, PFOA and PFOS, have been phased out in the U.S., but they don’t break down easily and can accumulate in the environment and in the human body. There is evidence that exposure to PFAS can lead to adverse human health effects.

    “Upon review of the October 2021 Toxicity Assessment, Chemours and external experts identified numerous material scientific flaws, including its failure to incorporate available, highly relevant peer-reviewed studies and that it significantly overstates the potential for risk associated with HFPO-DA,” according to the release.

    The EPA did not respond to an email request for comment Wednesday.

    EPA Deputy Assistant Administrator Benita Best-Wong defended the GenX toxicity assessment in a letter to a law firm representing six North Carolina health and environmental groups, stating the assessment “was subject to two rigorous independent peer reviews by scientists who were screened for conflicts of interest in 2018 and 2021.”

    Best-Wong went on to write that the agency asked the National Institute of Environmental Health Sciences National Toxicology Program to conduct an independent review of the liver histopathology slides from two studies.

    The agency published detailed responses to comments from both peer reviews and the assessment was put out for public review and comment for 60 days, she wrote.

    That letter was in response to the groups’ call for the EPA to order Chemours to conduct health studies on 54 PFAS. Those groups, including Cape Fear River Watch, Center for Environmental Health, Clean Cape Fear, Democracy Green, the NC Black Alliance and Toxic Free NC, filed a lawsuit against the EPA for failing to require Chemours to conduct the studies.

    The EPA’s health advisory for GenX replaces the state’s 2018 provisional drinking water health goal of 140 ppt.

    A consent order between DEQ, Cape Fear River Watch and Chemours requires the company to provide whole house filtration for households that rely on private water wells where GenX concentrations are above the health advisory.

    “We expect Chemours to meet their obligations under the Consent Order and to the communities impacted by the PFAS contamination,” Sharon Martin, DEQ deputy secretary for public affairs, said in an email Wednesday.

    Cape Fear River Watch Executive Director Dana Sargent said in a telephone interview she was “shaken” by the lawsuit.

    “This is going to be seriously infuriating for the community to hear this news and to still be looking at commercials and this nonsense saying (Chemours) are good neighbors,” she said. “I think Chemours needs to recognize that they can’t continue to claim that they’re good neighbors while suing the nation’s regulatory agency based on their assessment of the GenX toxicity level, which was done under strict calculations based on available science on the health impacts of GenX. The science is science.”

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  • Kentucky’s Medical Cannabis Advisory committee members set, share group goals

    Kentucky’s Medical Cannabis Advisory committee members set, share group goals

    (LEX 18) — Members of the Team Kentucky Professional medical Cannabis Advisory committee fulfilled for the initially time in Pike County for a city hall on Wednesday. The group of numerous specialists was fashioned to enable recommend Governor Andy Beshear on offering entry to health care hashish to Kentuckians.

    The committee’s co-chair, Secretary of the Community Security Cupboard Ray Perry, claims, “We have professionals from several fields. We have prison justice, advocacy of professional medical hashish, wellness treatment subject, regulation enforcement…”

    The intention is to satisfy with the public, obtain data, and report back again to Governor Andy Beshear.

    Perry suggests, “That’s what he wants. He would like to hear from Kentuckians.”

    30-eight other states have professional medical cannabis legal guidelines and procedures and this committee’s co-chair asks, “why not Kentucky?”

    “I signify why really do not we have that access? I signify to me, it just doesn’t make perception but, which is what we are below to discover out,” claims Perry.

    One committee member and mom, Kristin Wilcox, has been searching for answers due to the fact her daughter was identified with Dravet Syndrome at 4 months outdated. Her daughter’s unusual and lethal epileptic problem was treatment-resistant. At the time physicians experienced started researching cannabis.

    Wilcox grew to become an advocate for alternate medicine and discovered that they are not on your own.

    “You can find people today all over the point out with debilitating conditions, very determined to find substitute treatment plans,” shared Wilcox.

    Now, Wilcox’s daughter Shelby is 16 a long time old. She’s uncovered a sort of CBD without THC that has considerably improved her issue. The spouse and children is nevertheless searching for a cannabis remedy that can assistance with emergency remedies. Owning witnessed the rewards of cannabinoids she needs to prevent the stigma – she has hope.

    “Not just for my very own daughter, but for countless numbers of Kentuckians all above the state who need this just as poor. And I will do every little thing in my power to assure that we get this correct,” suggests Wilcox.

    Ray Perry states this is not a political problem and this has had overpowering guidance from both equally sides of the aisle. This committee will specially glance at bringing health care cannabis to the state.

    “We are specially talking about clinical cannabis, a doctor’s potential to glance at their individuals and have this as an option to prescribe to them. Numerous industry experts agree, clinical hashish is a viable answer to selected chronic situations,” says Perry.

    This Pikeville city corridor is just one of 4 that the committee will host across the state. Once more, they say the aim is to hear from as quite a few folks in the group as probable. For far more data about the committee and the conferences, you can visit medicalcannabis.ky.gov.

  • CDC Raises Monkeypox to a Level 2 Advisory

    CDC Raises Monkeypox to a Level 2 Advisory

    “Practice enhanced precautions” might appear to be like a acquainted directive by now, but its newest use will come from the Centers for Disorder Command and Prevention (CDC) for vacationers to stay away from an infection with monkeypox.

    The CDC just lately issued an “Alert – Degree 2” advisory for travelers as well being officers have noted an maximize in the amount of situations of monkeypox, which is a viral zoonosis, or virus transmitted to people from animals. Monkeypox offers with signs and symptoms that are really identical to individuals of smallpox, while it is clinically much less intense. Amount 2 is the 2nd best of a few journey safeguards, and urges men and women to “practice increased precautions” to avoid condition, although it was not connected to any particular locations.

    “Clusters of monkeypox scenarios have been claimed in several countries internationally, outside the house of regions in Central and West Africa exactly where instances are typically uncovered,” defined Neha Alang, MD, FACP, an infectious ailment specialist with the Hartford Healthcare Healthcare Group in Norwich. “The event of situations with no direct vacation to all those regions, or without the need of recognized links to a traveler from these locations, is abnormal.”

    As of Thursday, June 9, there were 45 verified scenarios of monkeypox in the United States. Globally, there are 1,356 scenarios in 31 nations.

    “The CDC implies the increase in conditions across the planet led to the new travel inform,” Dr. Alang mentioned. “The travel advisory is to make tourists informed of the actions they need to just take to stay clear of contracting monkeypox an infection.”

    These steps contain avoiding:

    • Near call with sick persons, including all those with pores and skin or genital lesions.
    • Make contact with with wild animals, alive or useless, this sort of as rodents (rats, squirrels) and non-human primates (monkeys, apes).
    • Taking in or planning meat from wild recreation (bushmeat) or utilizing solutions derived from wild animals from Africa (lotions, lotions, powders).
    • Get hold of with contaminated elements that have been applied by ill men and women – clothing, bedding or supplies used in healthcare settings – that came into get in touch with with contaminated animals.

    “The chance to the typical general public continues to be low, but persons should really search for healthcare treatment right away if they establish a new, unexplained pores and skin rash or lesions on any part of the system, whether there is fever and chills or not, and keep away from make contact with with many others,” Dr. Alang reported.

    Symptoms of monkeypox contain:

    • Fever and chills.
    • Exhaustion.
    • Headache.
    • Muscle mass aches.
    • Swollen lymph nodes.
    • Rash on confront and overall body.

    With regards to masking to avert monkeypox an infection, Dr. Alang stated the virus is totally distinct from other airborne illnesses like COVID-19.

    “It is not acknowledged to linger in the air and is not transmitted for the duration of shorter intervals of shared airspace,” she claimed. “Most persons with monkeypox report near contact with an infectious person. Although we do not know with certainty what purpose direct actual physical make contact with has as opposed to the job of respiratory secretions, in scenarios in which people who have monkeypox have travelled on airplanes, no recognised cases of monkeypox happened in the folks seated about them, even on lengthy intercontinental flights.”

    When COVID and measles are transmitted from airborne particles emitted by an infected person and inhaled by another, she mentioned there have been no stories that monkeypox has been transmitted that way. The CDC, on the other hand, does suggest everyone with monkeypox wear a mask all over many others in close spaces and face-to-encounter get in touch with.

    “In a healthcare location, a affected person with suspected or verified monkeypox infection ought to be positioned in a solitary-human being area, but specific air dealing with is not needed,” Dr. Alang reported. “Any methods that are very likely to spread oral secretions, this kind of as intubation and extubation, ought to be carried out in an airborne an infection isolation room.”

    Monkeypox lasts concerning two and 4 weeks just after an incubation period of time of one to 3 months. It is lethal for about a single in 10 contaminated persons.


  • Baker-Polito Administration Provides COVID-19 Update on Mask Advisory, Hospital Support

    Baker-Polito Administration Provides COVID-19 Update on Mask Advisory, Hospital Support

    BostonCurrently, the Baker-Polito Administration introduced added steps to address a latest increase in COVID-19 circumstances and to ensure acute treatment hospitals have ample potential to treatment for equally COVID and non-COVID people.

    The Commonwealth’s healthcare system is struggling with a significant staffing scarcity which has contributed to the loss of approximately 500 healthcare/surgical and ICU hospital beds considering that the beginning of the calendar year. Hospitals are also observing a superior amount of people, several because of to non-COVID connected good reasons.

    People are reminded that acquiring a vaccine and booster keep on being the very best way to safeguard versus really serious disease or hospitalization from COVID. The Section of Public Wellness (DPH) launched updated COVID breakthrough knowledge this 7 days exhibiting that 97{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of COVID breakthrough situations in Massachusetts have not resulted in hospitalization or dying. Unvaccinated individuals are 5 times a lot more probably to contract COVID than fully vaccinated men and women and 31 occasions far more probably to agreement COVID than individuals who have a booster.

    Massachusetts is a countrywide chief in COVID-19 vaccinations, with around 94{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of suitable residents owning been given at minimum a person dose. Around 89{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the complete Massachusetts inhabitants has at the very least just one dose, and 74{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of the overall population entirely vaccinated. Massachusetts also sales opportunities the nation in vaccinating communities of coloration, with 68{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of all black residents and 67{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of all Hispanic inhabitants acquiring at the very least a person dose, compared to 42.{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of black inhabitants and 51.7{fe463f59fb70c5c01486843be1d66c13e664ed3ae921464fa884afebcc0ffe6c} of Hispanic residents nationally.

    National Guard Activation

    Governor Charlie Baker currently will activate up to 500 customers of the Massachusetts Nationwide Guard to handle the non-scientific assist needs of hospitals and transportation systems. Up to 300 of these Guard users will begin schooling this week and will assist 55 acute treatment hospitals, as well as 12 ambulance support companies throughout the Commonwealth.

    DPH surveyed all hospitals and ambulance company companies, and in concert with the Massachusetts Health and fitness and Healthcare facility Affiliation, has recognized five critical roles that non-scientific Guard personnel can serve in support clinic functions for up to 90 days:

    • Non-unexpected emergency transportation involving facilities: driving ambulances used to transfer individuals concerning two health care places these as when people are discharged from a clinic and transferred to a prolonged term care facility. 
    • Affected individual observers: supplying continuous or regular observation of a client who is at possibility for harm to them selves.  
    • Security guidance: serving to to sustain a secure office.
    • In-clinic transport: bringing individuals by means of wheelchair or, if wanted, stretcher, from their client room to exams these types of as x-ray or CT scan, or from the crisis section to their inpatient floor. 
    • Food items company/tray shipping support: offering affected person meals to their rooms

    Guard personnel will be deployed to the field beginning December 27th, 2021.

    Elective Medical procedures Direction

    DPH launched updated steerage to hospitals relating to nonessential, elective invasive strategies. To preserve well being care staff assets, efficient 12:01am on December 27th, all hospitals are directed to postpone or terminate all nonessential elective methods very likely to end result in inpatient admission in order to sustain and raise inpatient capacity.

    Patients are reminded to however look for needed care at their hospital or from their overall health care company.

    To go through the assistance, click on here.

    Mask Advisory

    DPH introduced an up to date mask advisory nowadays, recommending that all folks, irrespective of vaccination position, dress in a mask or face masking in indoor, community spaces.

    DPH notably urges this advice for persons who have a weakened immune procedure, or are at amplified danger for extreme illness simply because of age or an fundamental clinical affliction, or if another person in their domestic has a weakened immune program, is at improved possibility for critical disease, or is unvaccinated.

    All men and women in Massachusetts (irrespective of vaccination status) are expected to continue on carrying deal with coverings in particular settings, which includes transportation and health treatment facilities.  Remember to see right here for a entire checklist of venues exactly where confront coverings have remained mandatory because May well 29, 2021.

    The Massachusetts Department of Elementary and Secondary Education’s present-day mask need and Coverage on Vaccination Fee Threshold issued on September 27th, 2021 is not impacted by this advisory. 

    To browse the full advisory, stop by: here.

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